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psnet.ahrq.gov/node/72637/psn-pdf
January 13, 2021 - Identifying factors leading to harm in English general
practices: a mixed-methods study based on patient
experiences integrating structural equation modeling and
qualitative content analysis.
January 13, 2021
Ricci-Cabello I, Gangannagaripalli J, Mounce LTA, et al. Identifying Factors Leading to Harm in English
G…
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psnet.ahrq.gov/node/841151/psn-pdf
December 07, 2022 - Discontinuation of outpatient medications: implications
for electronic messaging to pharmacies using CancelRx.
December 7, 2022
Pitts S, Yang Y, Thomas BA, et al. Discontinuation of outpatient medications: implications for electronic
messaging to pharmacies using CancelRx. J Am Med Inform Assoc. 2022;29(12):2101-21…
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psnet.ahrq.gov/node/46134/psn-pdf
September 24, 2017 - Sources of unsafe primary care for older adults: a mixed-
methods analysis of patient safety incident reports.
September 24, 2017
Cooper A, Edwards A, Williams H, et al. Sources of unsafe primary care for older adults: a mixed-methods
analysis of patient safety incident reports. Age Ageing. 2017;46(5):833-839. doi:…
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psnet.ahrq.gov/node/867041/psn-pdf
October 30, 2024 - "What else could it be?" A scoping review of questions
for patients to ask throughout the diagnostic process.
October 30, 2024
Hill MA, Coppinger T, Sedig K, et al. "What else could it be?" A scoping review of questions for patients to
ask throughout the diagnostic process. J Patient Saf. 2024;20(8):529-534.
doi:1…
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psnet.ahrq.gov/node/844541/psn-pdf
February 15, 2023 - Factors differentiating nursing homes with strong
resident safety climate: a qualitative study of leadership
and staff perspectives.
February 15, 2023
Engle RL, Gillespie C, Clark VA, et al. Factors differentiating nursing homes with strong resident safety
climate: a qualitative study of leadership and staff persp…
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psnet.ahrq.gov/node/866559/psn-pdf
August 21, 2024 - Exploring the impact of pharmacist-supported medication
reviews in dementia care: experiences of general
practitioners and nurses.
August 21, 2024
Carlqvist C, Ekstedt M, Lehnbom EC. Exploring the impact of pharmacist-supported medication reviews in
dementia care: experiences of general practitioners and nurses. B…
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psnet.ahrq.gov/node/36902/psn-pdf
June 09, 2010 - Patient handover from surgery to intensive care: using
Formula 1 pit-stop and aviation models to improve safety
and quality.
June 9, 2010
Catchpole K, de Leval MR, McEwan A, et al. Patient handover from surgery to intensive care: using
Formula 1 pit-stop and aviation models to improve safety and quality. Paediatr …
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psnet.ahrq.gov/node/41054/psn-pdf
January 27, 2012 - The impact of nontechnical skills on technical
performance in surgery: a systematic review.
January 27, 2012
Hull L, Arora S, Aggarwal R, et al. The impact of nontechnical skills on technical performance in surgery: a
systematic review. J Am Coll Surg. 2012;214(2):214-230. doi:10.1016/j.jamcollsurg.2011.10.016.
ht…
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psnet.ahrq.gov/node/36386/psn-pdf
July 14, 2010 - Learning from different lenses: reports of medical errors
in primary care by clinicians, staff, and patients: a project
of the American Academy of Family Physicians National
Research Network.
July 14, 2010
Phillips RL, Dovey SM, Graham D, et al. Learning From Different Lenses: Reports of Medical Errors in
Primary…
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psnet.ahrq.gov/node/60643/psn-pdf
July 01, 2020 - Human factors considerations in using personal
protective equipment in the COVID-19 pandemic context:
a bi-national survey study.
July 1, 2020
Parush A, Wacht O, Gomes R, et al. Human Factors Considerations in Using Personal Protective
Equipment in the COVID-19 Pandemic Context: A Bi-national Survey Study (Preprin…
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psnet.ahrq.gov/node/60838/psn-pdf
January 01, 2021 - Using the ecological systems theory to understand
black/white disparities in maternal morbidity and mortality
in the United States.
August 26, 2020
Noursi S, Saluja B, Richey L. Using the ecological systems theory to understand black/white disparities in
maternal morbidity and mortality in the United States. J Rac…
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psnet.ahrq.gov/node/43013/psn-pdf
March 12, 2014 - Laboratory test ordering and results management
systems: a qualitative study of safety risks identified by
administrators in general practice.
March 12, 2014
Bowie P, Halley L, McKay J. Laboratory test ordering and results management systems: a qualitative study
of safety risks identified by administrators in gene…
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psnet.ahrq.gov/node/841142/psn-pdf
December 07, 2022 - Experience of hospital-initiated medication changes in
older people with multimorbidity: a multicentre mixed-
methods study embedded in the OPtimising thERapy to
prevent Avoidable hospital admissions in Multimorbid
older people (OPERAM) trial.
December 7, 2022
Thevelin S, Pétein C, Metry B, et al. Experience of h…
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psnet.ahrq.gov/node/47893/psn-pdf
April 08, 2019 - Challenges with implementing the Centers for Disease
Control and Prevention opioid guideline: a consensus
panel report.
April 8, 2019
Kroenke K, Alford DP, Argoff C, et al. Challenges with Implementing the Centers for Disease Control and
Prevention Opioid Guideline: A Consensus Panel Report. Pain Med. 2019;20(4):7…
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psnet.ahrq.gov/node/861771/psn-pdf
January 31, 2024 - The impact of nursing practice environments on patient
safety culture in primary health care: a scoping review.
January 31, 2024
Pereira SC de A, Ribeiro OMPL, Fassarella CS, et al. The impact of nursing practice environments on
patient safety culture in primary health care: a scoping review. BJGP Open. 2024;8(1):B…
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psnet.ahrq.gov/node/74154/psn-pdf
December 08, 2021 - Assessment of requests for medication-related follow-up
after hospital discharge, and the relation to unplanned
hospital revisits, in older patients: a multicentre
retrospective chart review.
December 8, 2021
Cam H, Kempen TGH, Eriksson H, et al. Assessment of requests for medication-related follow-up after
hospi…
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psnet.ahrq.gov/node/854375/psn-pdf
October 11, 2023 - Multicomponent pharmacist intervention did not reduce
clinically important medication errors for ambulatory
patients initiating direct oral anticoagulants.
October 11, 2023
Kapoor A, Patel P, Mbusa D, et al. Multicomponent pharmacist intervention did not reduce clinically
important medication errors for ambulatory…
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psnet.ahrq.gov/node/849340/psn-pdf
May 24, 2023 - Death Inside Lemuel Shattuck Hospital: A Case Study on
Medical Treatment for Persons with Mental Health
Disabilities.
May 24, 2023
Massachusetts Protection and Advocacy. Boston, MA: Disability Law Center; May 8, 2023.
https://psnet.ahrq.gov/issue/death-inside-lemuel-shattuck-hospital-case-study-medical-treat…
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psnet.ahrq.gov/node/847546/psn-pdf
March 25, 2021 - Patient safety culture improves during an in situ
simulation intervention: a repeated cross-sectional
intervention study at two hospital sites.
March 25, 2021
Schram A, Paltved C, Christensen KB, et al. Patient safety culture improves during an in situ simulation
intervention: a repeated cross-sectional interventi…
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psnet.ahrq.gov/node/844758/psn-pdf
September 18, 2019 - The fifth vital sign? Nurse worry predicts inpatient
deterioration within 24 hours.
September 18, 2019
Romero-Brufau S, Gaines K, Nicolas CT, et al. JAMIA Open. 2019;2(4):465-470.
https://psnet.ahrq.gov/issue/fifth-vital-sign-nurse-worry-predicts-inpatient-deterioration-within-24-hours
Early recognition of clinica…